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Background & Aim: At recent three decades, management of chronic mental disorders has been a focus of attention in mental health systems. This study aimed to assess the efficacy of group psychodrama in reducing depression in inpatient women with chronic mental disorder. Method & Materials: In this semi-experimental study, thirty women with chronic mental disorders bedridden at Razi comprehensive psychiatric center(Tehran, Iran) were randomly assigned to two groups, namely intervention & control groups. Beck Depression Inventory(BDI) was administered to all participants and then a 12 session group psychodrama intervention program was carried out for the intervention group. Meanwhile routine treatments were continued for the control group. BDI was then re-administered for both groups. Data were analyzed by SPSS software using independent and Paired T tests, Kolmogroph-Smernoph, Chi-square, Leven and Covariance analysis(ANCOVA) tests.   Findings: After the intervention, the BDI mean score significantly reduced in the intervention group(p=0.000) but not in the control one. The two groups showed no difference regarding the mean BDI scores before the intervention but afterward the control group had a significantly higher score in this respect(p=0.000). The significant differences remained true after applying ANCOVA to control the effects of age and rate of depression(p=0.000) Conclusion: Psychodrama may be an effective intervention for reducing depression in patients with chronic mental disorders.

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Introduction: The aim of this survey was to assess psychometric properties of GHQ-28 in Iranian psychiatric population and appropriating it as a screening instrument for assessing general health in this population. Method and Materials: This was a psychometric study executed on 80 psychiatric patients and 80 matched normal participants. The assessments consisted of a psychiatrist’s interview based on DSM.IV criteria, and administration of GHQ-28 and a demographic questionnaire. Data was analyzed using factor, discrimination and regression analysis methods, as well as Pearson’s correlation co-efficient, Spearman- Brown’s and Guttmann’s split tests.  Findings: Four factors were extracted from the GHQ-28, of which the first three explained the most percenttage of variance. Clinical cut-off point, sensitivity, specificity and classification error were found to be 24, 0.80, 0.99, 0.10 respectively. Criterion validity Chronbach's alpha and split reliability co-efficient were found to be 0.78, 0.97 and 0.90 respectively.  Discussion: Factor analysis revealed that the four factors which are the basics in this questionnaire have a high internal consistency. The calculated optimal clinical cut-off point for screening general health in Iranian population was 24 which ensure optimal psychometric indices. Coefficients of criterion validity, structural validity and reliability showed that GHQ-28 is one of the most valid instruments for screening general health. 

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Normal 0 false false false MicrosoftInternetExplorer4 Introduction: Depression is one of the most prevalent psychiatric disorders. Cognitive Schemas have been well established to play a role in the development and the treatment of this disorder. Monotheistic view is a popular and well-received cognitive schema which is followed by specific emotions and deserves to be paid attention . Methods: This is a review study on the verses of the holy Koran using the relevant resources and soft wares. Data has been classified to primary and secondary preventive categories and discussed accordingly . Findings: We distracted three major axes of the monotheistic view as relevant in prevention and treatment of depression. They are: to encourage a positive way of thinking and a productive and creative state of mind, to remove negative attitudes and to reduce depressive symptoms and signs. Some of the important issues which are discussed in this regard according the holy Koran are as follows: this view gives a total perspective about the life which may answer some of the human basic questions about the philosophy of life and existence, it gives faith and wisdom, an attitude based on the trust in God and consent toward his will, it introduces ways for facing with problems such as poverty, financial worries, family problems and life negative events among many others . Discussion: Applying the mentioned axes, monotheistic view has a basic role in providing humankind with stable and satisfying emotions. As an effective cognitive schema in the treatment and prevention of depression, it can be applied in individual and social primary and secondary care programs. Cognitive schemas deducted from the monotheistic view can make a foundation for a new psychotherapeutic method for depression. In the full text of this material, we have discussed the similarities and differences of this view with other kinds of cognitive schemata.  

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Aim and Background: There is a relation between patients&#039; levels of physical functioning and their acceptance of chronic pain. However, this relation has not been examined amongst Iranian chronic pain patients. The purpose of this paper was to evaluate the relation between acceptance of chronic pain and physical disability. Methods and Materials: In a descriptive-correlational study, convenience sampling was used to select 245 chronic pain patients from pain clinics in Tehran, Iran during spring and summer of 2010. The participants completed the Chronic Pain Acceptance Questionnaire (CPAQ) and a demographic questionnaire. They also provided information about physical disability, pain intensity, and daily dysfunction. Data was analyzed using Pearson&#039;s correlation and multiple hierarchical regression models. Findings: There were significant relations between acceptance of pain and pain intensity and disability (P < 0.001). According to the regression model, acceptance of pain could predict a significant proportion of variance of disability scales (i.e. physical disability and daily dysfunction) (P < 0.0001). Therefore, it was a better predictor of disability compared to over pain intensity, gender, education, and pain duration. Conclusions: Chronic pain acceptance is an important factor in reducing the perceived disability in chronic pain patients. Therefore, acceptance-based treatment methods are helpful to decrease pain-related disability.

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Aim and Background: Chronic use of opiates has been associated with a wide range of cognitive deficits, involving domains of attention, inhibitory control, planning, decision-making, and memory. Therefore, the main aim of this research was the comparison of executive functions in heroin dependents and patients on methadone therapy with a control group. Method and Materials: The retrospective research method was used in the current study. Purposeful sampling method was used in methadone and heroin groups, but control group participants were selected randomly. Statistical population in this study consisted of heroin dependents and methadone users, in Isfahan city in 2012, who had been referred to medial, rehabilitation centers, and psychiatric clinics. Finally, 75 patients were selected in three groups [methadone (n = 25), heroin (n = 25), and control groups (n = 25)] according to the criteria of drug abuse or dependence in DSM-IV-TR. Then, they were evaluated based on the Tower of London and Stroop neuropsychological Tests. Findings: Results of analysis of variance show that the control group had a better performance in the Tower of London and Stroop tests in comparison with heroin dependents and methadone users groups (P &le; 0.05). However, there were no significant differences between heroin dependents and methadone users groups. &nbsp; Conclusions: Heroin dependency and methadone use, probably, causes prefrontal cortex and executive dysfunctions, and neurological disturbances in frontostriatal systems. According to these findings, we can design professional cognitive rehabilitation programs to rehabilitate patients in their personal, occupational, and social life.

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Abstract Aim and Background: Job burnout is considered as the main factor of decreasing efficiency, losing manpower and making physical and mental complication&#039;s specially in human service professions, this survey intends to study job burnout for psychologists and psychiatrists of city of Isfahan and it is interrelation with individual and professional factors. Methods and Materials: This survey is of Correlation type, that has been done on 133, psychologists and psychiatrists, (98 psychologists and 35 psychiatrists) applying an Maslach burnout inventory questionnaire (MBI) (&alpha;=0.87) and demography questionnaire. The samples were selected simple randomly, by accident and invited to cooperate individually. Data has been reported into two levels of descriptive and inferential (frequency, percentage, mean, deviation, T test, coefficient of correlation, analysis of variance). Findings: The results of this survey proved weak when the mean of job burnout scores in the study sample compared with the source score. In aspects of emotional exhaustion, depersonalization, burnout was weak and in the aspect of personal efficiency it suggested medium. Moreover there is a meaningful relation between job burnout with the variable of interest in clinical work, attitude to the effectiveness of clinical work, and the type of job (P<0.05). conclusions: The results indicated that there is notable job burnout, even though it&#039;s weak in the sample group. This has been more serious among the employees of the state centers so it&#039;s necessary to identify the intensifier and reducer factors for this phenomenon in the personal, organizational and environmental aspects.

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Abstract &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Aim and Background: This study was aimed to determine the relationship between positive psychological variables (hope and spirituality) psychopathology (depression, stress, anxiety) and quality of life in hemodialysis patients in Isfahan&#039;s Ali Asghar Hospitals. Methods and Materials: This study was a descriptive one, and its population was all Hemodialysis patients in Ali Asghar Hospital. The participants in this study were 96 Hemodialysis patients. They were selected by a simple random sampling method. The survey tools included demographic questions, (SF-36) quality of life, life expectancy, (DASS) depression, stress, anxiety and spirituality questionnaire. Mean and standard deviation were used to analyze the data and for hypothesis testing the Pearson correlation and simultaneous regression analysis were used. Findings: There was a significant relationship between positive psychological variables (hope and spirituality) and psychopathology (depression, stress, anxiety) with quality of life in hemodialysis patients. In other words, participants with higher scores on (spirituality and hope) had a better quality of life, and those who higher score on DASS had a lower quality of life (p<0.05). These finding indicated that: There was a significant relationship between quality of life and spirituality in hemodialysis patients (p<0.05). There was a significant relationship between quality of life and hope in hemodialysis patients (p<0.05). There was a significant relationship between quality of life and (stress, depression and anxiety) in hemodialysis patients (p<0.001). Conclusions: These finding indicated that quality of life in Hemodialysis patients can be predicted by hope and (stress, depression, anxiety) &nbsp;

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Abstract Aim and Background: This study aims to predict self-care behavior based on the characteristics of Hardiness , hope and dysfunctional attitudes in patients with type 2 diabetes. Methods and Materials: Study design was a descriptive correlation method. The target population was all patients with diabetes type 2 who referred to Isfahan Endocrine and Metabolism Centers. The sample consisted of 120 patients. The multi-stage cluster sampling was used for the sample selection . The instrument employed in this research was Self &ndash; care Scale, hardiness Questinnaire, Hope Scale and Dysfunctional Attitudes Scale . The Pearson correlation and multiple regression analysis with stepwise method were used to analyze the data. Findings: Analysis of the data showed that the only interaction between hope and dysfunctional attitudes have been able to predict self-care (r=0.191,p<0.05). But separately there is no relationship between hardiness , hope, dysfunctional attitudes and self-care. Conclusions: Interaction of dysfunctional attitudes and hope are able to predict self-care behavior. Therefore, the program which modify dysfunctional attitude and enhance Life Expectancy seems to increase self-care behavior.

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Aim and Background: Self-assertiveness is one of the ten life skills and its achievement is necessary in order to have a good and favorable life. Precise measurement of these features and decision-making are necessary to promote it; therefore, the present study aimed to construct and review the quality of psychometric assessment of self-assertiveness scale in students of Isfahan University of Medical Sciences. Methods and Materials: This was a descriptive-analytical tool study conducted on 196 students of Isfahan University of Medical Sciences by cluster (selection of 6 courses of study) and randomized methods (selection of academic year from each course of study). Using different self-assertiveness inventory forms (College Self-assertiveness Scale) &nbsp;from reliable &nbsp;website, different translations and &nbsp;combination of questions and etc, the primary questionnaire was developed and it was implemented in three stages after assessment of face and content validity by the professors. The descriptive and psychometric statistics were calculated through SPSS software. Findings: The results showed that the questionnaire had a proper face and content validity, acceptable concurrent validity (0.74), Cronbach&rsquo;s alpha (0.94) and reliability (0.87) through bisect method. Analysis of principal components introduced four different factors including passive, aggressive, self-assertiveness which explained 33.58 percent of the total variance. Conclusions: Calculated psychometric indicators in this study indicated inappropriateness of this tool to assess the rate of self- assertiveness in students.

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Abstract Aim and Background: Based on the reinforcement sensitivity theory, normal and abnormal personalities are located along with a continuum. The aim of this study is comparing the behavioral inhibition systems and activation systems on different drug users, heroin withdrawers with normal persons. Methods and Materials: The present research applied fragmentary descriptive method and the statistical population was consisted of all drug-users who were under maintaining treatment with methadone, shisha- users, heroin-users, opium-users and heroin-withdrawers in Isfahan City in 2013, so that 150 users of different drugs and 30 men who did not use anything were selected and tested by the cluster sampling and the Gary Wilson&rsquo;s personality questionnaire (QWPQ). Findings: The results of variation analysis showed that there is a significant difference among the groups from the point of view of the behavioral activation level (P<0.05). No meaningful difference has obtained between the groups from the point of view of behavioral inhibition system and escape-fight system (p<0.05). The results of Post-Hoc Test represented that the mean behavioral activation&nbsp; in heroin user group is meaningfully more than normal groups, heroin and opium withdrawers and methadone users (p<0.05). Also the mean behavioral activation in shisha-users is meaningfully more than opium withdrawers and methadone users (p<0.05).There was no meaningful difference between other groups. Conclusions: This study is supported a hypothesis that represented drug-users enjoy thehyper function in activating-behavior system.

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Abstract Aim and Background: the aim of this study was to evaluate effectiveness of schema therapy in reducing symptoms and adjusting early maladaptive schemas in patients with bipolar disorder. The purpose was to identify patient’s maladaptive schemas and attempt to modify or change them. Methods and Materials: Subjects included 30 patients, 10 men and 20 women that were chosen by convenience sampling from visitors of Nour Medical Center, two mental health clinics in Isfahan and Baran ‘e’ Mehr counselling center in Shahin Shahr. They were diagnosed with bipolar disorder (type I or II) by a psychiatrist using DSM-IV-TR and receiving medical treatment, were randomly put in two groups. Test group received medical treatment with schema therapy and the control group received only medical treatment. Young mania rating scale (YMRS), bipolar depression rating scale (BDRS) and Young schema questionnaire (YSQ3) were used before and after treatment. Data were analyzed by multivariate analysis of variance and covariance using SPSS 18.0. Findings: Controlling the covariate variable, differences between two groups after the intervention were significant for all three variables of symptoms of mania and depression and early maladaptive schemas (P<0.01). Conclusions: schema therapy as an adjuvant psychological treatment with medication can be effective in reducing symptoms and adjusting the early maladaptive schemas in patients with bipolar disorder, therefore providing regular protocols for schema therapy and adding it to medical treatment is suggested.  

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Aim and Background: Previous studies have shown that individuals with hearing impairments suffer from anxiety disorders such as social phobia. The purpose of this research was to determine the effectiveness of social skills training on the treatment of social phobia in individuals with hearing impairment. Methods and Materials: This quasi-experimental study was performed with a pretest-posttest design and control group. From among all 8-18 year-old male students with hearing impairment in Arak, Iran, 22 who obtained the highest scores in the Social Phobia and Anxiety Inventory (SPAI) were selected. The participants were matched according to age and intelligence, and then, randomly assigned to an experimental and control group. The experimental group received social skills training 2 sessions per week for 2 months. To analyze data, independent t-test and ANCOVA were applied. Findings: The experimental group obtained better results in pretest and follow-up (P < 0.001) in comparison to the control group. The results showed that social skills training had a significant impact on reduction of social phobia in these individuals. Conclusions: It can be concluded that social skills training is an effective intervention method in decreasing social phobia in individuals with hearing impairment.

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Aim and Background: One of the serious problems in organizations is absenteeism from work that seems to be affected by personnel&rsquo;s psychological status and personality characteristics. The aim of this study was to determine the relationship of psychological and personality factors with absenteeism from &lrm;work among university staff. Methods and Materials: The present study was a cross-sectional survey. From among a total of 21504 employees of Isfahan University of Medical Sciences (Iran), 250 individuals were selected using quota sampling. With the approval of the management of the human resources and development and other sectors, a demographic characteristics questionnaire, the Depression, Anxiety, Stress Scale (DASS), and the NEO Five-Factor Inventory (NEO-FFI) were completed. Data were analyzed in SPSS software using Pearson correlation and point biserial correlation coefficient. Findings: Absenteeism had a positive significant relationship with stress level, neuroticism, age, work experience, number of children, and employment type (P < 0.05). The lowest rate of absenteeism was observed among employees with doctoral education or with primary education and illiterate employees. The highest rate of absence was seen among formal employees. The mean depression and anxiety scores of the university staff were slightly lower than the general population, but their stress symptoms were slightly higher than those of the general population. Conclusions: The finding indicated that absenteeism from work is related to psychological traits and psychopathological symptoms. Absenteeism may be a dysfunctional avoidance response to psychological, social, and mental health status. According to these findings, stress coping skills training in the form of in-service training seems necessary. Moreover, employment analysis and assigning of positions based on psychological status and skills is suggested.

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Aim and Background: During a studentship time, students suffer several problems. One of these problems is living in dormitories and far from home, family and the city that can bring many problems for student. In addition, hostel life can also cause problems that increase the difficulty of life in dormitories. This study aimed to assess the difficulties of dormitory life by using qualitative method. Methods and Materials: This study was a qualitative study using content analysis approach. The process of data collection consisted of 12 semi-structured interviews with students living in the dormitories of Isfahan University of Medical Sciences, Iran. Purposeful sampling began in 2015 and continued until data saturation. Data analysis was done using content analysis method. Findings: Data analysis tended to the extraction of 13 themes that indicated the participants&#039; experiences of the difficulties of living in a university dormitory. These problems included facilities, nutrition, behavior of the staff and administrators, cultural, recreation and religion activities, roommates, costs of accommodation and care that each one caused problems for students. Conclusions: Dormitory life problems such would have a direct negative impact on the education process of students and officials can try to improve them.

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Aim and Background: The prevalence of depression symptoms is increasing and has widespread destructive effects on individuals and the society. Identifying the risk and protective factors and understanding the process of developing depressive symptoms is essential for timely prevention and early intervention measures. The aim of this study was to investigate the moderating role of cognitive emotion regulation strategies in the relationship between stressful events and depression symptoms. Methods and Materials: The statistical population consisted of undergraduate students; from among them 357 individuals were selected using stratified random sampling method. The Life Experiences Survey (LES), Cognitive Emotion Regulation Questionnaire (CERQ), and Beck Depression Inventory-II (BDI-II) were used for data collection. The hypothesis was tested using regression analysis. Findings: The results showed that adaptive cognitive emotion regulation strategies moderated the relationship between stressful events and depression symptoms. Conclusions: Individuals who use adaptive cognitive emotion regulation strategies to a greater extent after experincing stressful life events, show fewer depression symptoms. Conversely, individuals, who use these strategies to a lesser extent after stressful life events, show more depression symptoms. Accordingly, intervention and prevention programs for depression symptoms should have special attention to the education and promotion of adaptive cognitive emotion regulation strategies.

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Aim and Background: The concept of wisdom and its other equivalents have an important place in Islamic sciences, psychology, and psychiatry because of their determining roles in human health. Therefore, The present study explained and compared this concept in these three resources. Methods and Materials: In this was a review study, after looking up the word "wisdom" in the Arabic, Persian, and English dictionaries, and Quranic Arabic Corpus, the concept was extracted from the perspective of Islamic philosophers, Imams, the Quran, and academic textbooks of psychiatry and psychology. Finally, the common features and points and differences of the concept in the mentioned resources were described. Findings: Wisdom can be described in three perspectives. The Islamic literature has divided wisdom into theoretical and practical and described it as judgment power, preventer of deviation and corruption, the basis of human personality, and a human appraisal criterion in the hereafter. Psychiatry has defined wisdom as having true insight into the self, one’s disorders, and correct judgment in various conditions. In psychological literature, the concept of wisdom is the ability to think and practice based on knowledge, experience, and correct insight. Conclusions: All three resources believe in the gradual evolution of wisdom and consider various factors affecting this evolution. However, in the Islamic view, the concept of the hereafter, as an important and essential concept, has different approaches and perspectives.

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Aim and Background: The aim of present study was investigating the efficacy of acceptance and commitment therapy (ACT) for couples on marital adjustment in men with bipolar II Disorder. Methods and Materials: Participants (3 couples) were selected using purposeful sampling. Nonconcurrent multiple baseline experimental single subject study was used as the method. The efficacy of couples’ ACT protocol was carried out in three phases of intervention (baseline, 12-session treatment and 3-month follow-up) by using dyadic adjustment scale (DAS). Data were analyzed by visuals analysis and percentage of non-overlapping data (PND) and percentage of overlapping data (POD) strategies. Findings: There was a significant difference between the mean values of the baseline and intervention scores. The effectiveness of couples-based ACT in men with bipolar II disorder was validated to improve the marital adjustment. Conclusions: ACT for couples can improve the marital adjustment in men with bipolar II disorder and decrease the rate of divorce.

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Aim and Background: Somatic symptom is one of the prevalent complaints in patients with psychiatric disorders and in Diagnostic and Statistical Manual of Mental Disorders -5 th Edition (DSM-5) is mentioned as somatic symptom disorder (SSD). In order to assess somatic complaints, validated scales are required. The aim of the present study was preparation of Persian version and determination of factor structure (as one of the psychometric properties) of Screening for Somatoform Symptoms-7 (SOMS-7) scale in Iranian samples. Methods and Materials: This psychometric study was conducted in Psychosomatic Research Center of Isfahan University of Medical Sciences, Isfahan, Iran, and included 100 patients with anxiety/mood disorders. All participants were asked to complete SOMS-7 and Patient Health Questionnaire (PHQ). Validity was confirmed by correlational method, and factor analysis and external and internal reliability were confirmed by Cronbach's alpha coefficient and re-test method. Factor analysis was performed by exploratory and confirmatory method. Data were analysed via SPSS software. Findings: Internal consistency of SOMS-7 was obtained 0.92 using Cronbach's alpha and reliability was obtained 0.70 via re-test method in two weeks interval. Factor analysis showed an appropriate two-factor structure in patients. The correlation of these two factors with somatic scale of PHQ was obtained 0.51 and 0.59, respectively, and revealed the construction validity as well as convergent validity. Conclusions: Findings indicate that Persian version of SOMS-7 has suitable reliability and validity for assessment of SSD and also evaluation of treatment effects in these patients.

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Aim and Background: The reinforcement sensitivity theory (RST) is important and useful in various areas such as personality, emotion and psychopathology. Sensitivity to Punishment and Sensitivity to Reward Questionnaire-Revised and Clarified (SPSRQ-RC) was developed to measure this theory and address the problem of Sensitivity to Punishment and Sensitivity to Reward Questionnaire (SPSRQ). The purpose of this study was to investigate the psychometric properties of the Persian version of SPSRQ-RC. Methods and Materials: This was a descriptive-correlative study. The statistical population was University of Bojnord students that 485 of whom were selected as the research sample using stratified random sampling method. Data were collected using SPSRQ-RC, Behavioral Inhibition System/Behavioral Activation Scales (BIS/BAS Scales), Positive and Negative Affect Schedule (PANAS). The collected data were analyzed through Cronbach’s alpha, Pearson correlation coefficient, test-retest method, exploratory factor analysis and confirmatory factor analysis. Findings: The principal components method by Varimax rotation led to the extraction of two factors; the sensitivity to Punishment (SP) and sensitivity to Reward (SR) for SPSRQ-RC. The two-factor model explained 38.51 percent of the data variance. 10 items of SPSRQ-RC on the first factor (sensitivity to Punishment) and 10 items on the second factor (sensitivity to Reward) have the significant factor load. All items belonging to each of the sensitivity to punishment and sensitivity to reward factors had a high factor load and confirmed the SPSRQ-RC factor structure. The results of the SPSRQ-RC reliability using internal consistency and test re-test showed that this tool is reliable. Also, the results showed that SPSRQ-RC has a convergent and divergent validity. Conclusions: SPSRQ-RC has good psychometric properties in Iranian society and provides a more appropriate assessment for RST.

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Aim and Background: Irritable bowel syndrome (IBS) is a functional gastrointestinal disorder with chronic abdominal pain, bowel habit variations, and lack of structural causes. Symptom intensity has a statistical relation with patients' quality of life (QOL) and mental health. The first objective of the present study was to develop and provide a therapeutic plan based on cognitive behavioral therapy (CBT) for IBS that was operated for the very first time in Iran, as well as, compilation a therapeutic plan based on cultural and spiritual components. The second objective was to determine the effectiveness and comparison of those treatments on IBS symptoms intensity, Irritable Bowel Syndrome-Quality of Life Questionnaire (IBS-QOL) among patients with IBS.

Methods and Materials: The participants were 23 women with IBS that put in two groups randomly. The participants were diagnosed on the basis of Rome-III diagnosis criteria. One group received cognitive-behavioral therapy and the other group received spiritual therapy for 12 sessions. The data collection tools consisted of IBS Symptom Severity Scale (IBS-SSS), the Irritable Bowel Syndrome Quality of Life (IBS-QOL) questionnaire. Data were collected during the weeks of 1, 4, 12, and 24, during the treatment process. Data was analyzed statistically via repeated measures MANOVA in SPSS software.

Findings: Both CBT and Spiritual therapy have a significant effect on IBS symptoms reduction and QOL improvement in patients. The effect of two therapeutic plans persisted until the follow-up stage.

Conclusions: According to the results, applied CBT and spiritual therapy can be implemented as effective treatments for IBS. Therefore, considering with condition and acceptance of patient, the use of each of them as complementary treatment is advised.